| NPI | 1578902722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY KY-1493) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0700050) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |